Jesse Bullock

NPI #1457005365 in Alpine, California

Provider Information

NPI Number: 1457005365
Entity Type: Individual
Name: Jesse Bullock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 9, 2022
Last Updated: Feb 9, 2022

Practice Location

Address: 2271 ALPINE BLVD STE A
City: Alpine
State: California
ZIP Code: 91901-1101
Phone: (619) 289-7322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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